소화성 궤양 환자의 혈중 및 요중 aluminum과 silicon

신해림,김정일,김두희,최석렬,서정일,김준연,Shin, Hae-Rim,Kim, Jung-Il,Kim, Doo-Hee,Choi, Suk-Ryol,Seoh, Jung-Il,Roberts, Norman B.,Kim, Joon-Youn 대한예방의학회 1999 Journal of Preventive Medicine and Public Health Vol.32 No.2

Objectives: This study was carried out to investigate the aluminum concentrations in blood, urine and drinking water, the factors which affect the concentrations and the role of silicon in patients who were taking antacid containing aluminum. Methods: We selected 122 peptic ulcer patients as cases and 144 healthy examinees as controls. Blood, urine, and drinking water were collected from the each study subject and we measured aluminum concentrations as well as silicon concentrations in the specimens. The factors including silicon affect on the aluminum concentrations were also analyzed, Results: 1. The mean duration of antacid administration was 12 months, and the mean daily and total amount of aluminum administration were 0.9 g and 304 g per each patient, respectively. 2. The blood and urine aluminum concentrations were significantly higher in the case. 3. The blood silicon concentration was significantly lower in the control group, and the urine silicon concentration was significantly higher in the case. 4. Urine aluminum concentration was significantly correlated with blood aluminum concentration (r=0.18), and urine silicon concentration was correlated with blood aluminum (r=0.19) and urine aluminum concentrations (r=0.13). 5. The longer the duration of antacid administration and the larger the total and daily amount of aluminum in the antacid were, the higher urine aluminum and silicon concentrations were, but not to a statistically significant degree. Conclusions: Blood and urine aluminum concentrations were higher in the ulcer patients. The authors suggest that follow-up studies of the patients who administered antacid with high aluminum content for long duration should be done.

청소년의 신체상이 우울에 미치는 영향: 내면화된 수치심의 매개효과

신해림 ( Shin Hae Rim ) 한국인지행동치료상담학회 2020 인지행동치료상담연구 Vol.2 No.1

본 연구의 목적은 청소년의 신체상과 내면화된 수치심이 우울에 미치는 상대적 영향력을 알아보고, 청소년의 신체상이 우울에 미치는 영향에 대한 내면화된 수치심의 매개효과를 살펴보는 것이다. 연구대상은 경기도에 위치한 중·고등학교에 재학 중인 남녀 청소년 475명이며, 연구도구는 신체상 척도(Body Esteem Scale), 내면화된 수치심 척도(Internalized Shame Scale) 및 우울 척도(한국어판 역학연구-우울척도)를 활용하였다. 수집된 자료는 SPSS Statistics 21.0 프로그램을 이용하여 기술통계분석과 Pearson의 상관관계분석을 실시하였고, SPSS Macro를 이용하여 매개효과 분석을 실시하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 청소년의 우울을 가장 잘 예측하는 것은 내면화된 수치심 하위변인인 공허감인 것으로 나타났다. 둘째, 내면화된 수치심은 청소년의 신체상과 우울의 관계를 부분 매개하는 것으로 나타났다. 연구결과를 바탕으로 청소년의 우울에 미치는 변인들의 관계와 경로를 탐색함으로써 청소년의 우울을 예방하고 개입하기 위한 방향을 제시하였다. The purpose of this study is to examine the effect of body image and internalized shame on adolescents’ depression, and the mediating effects of internalized shame on the relationship between adolescents’ body image and depression. The participants were 475 middle and high school students in Gyeonggi-do. Data analyses were conducted using SPSS 21.0 and SPSS macro for the separate and dual mediating effect. The major finding of the study are as follows. First, emptiness and loneliness, one of subfactors of internalized shame were mostly accounted for by adolescents’ depression. Second, internalized shame was found to had partial mediation effect on the relationship between adolescents’ body image and depression, respectively. The results indicate to provide basis for specific interventions for adolescents with depression and body image problems by looking at the mediating effect of internalized shame based on the relationship between adolescents’ body image and depression.

청소년의 신체상이 우울에 미치는 영향: 부적응적 자기초점주의와 거부민감성의 이중매개효과

신해림(Hae Rim Shin),김정민(Jung Min Kim) 한국아동학회 2020 아동학회지 Vol.41 No.4

Objectives: The purpose of this study is to examine the dual mediating effects of maladaptive selffocused attention and rejection sensitivity on the relationship between adolescents’ body image and depression. Methods: The participants were 475 middle and high school students in Gyeonggi-do. Data analyses were conducted using SPSS 21.0 and SPSS macro for the separate and dual mediating effects. Results: The major finding of the study were as follows: (1) maladaptive self-focused attention and rejection sensitivity had partial mediation effects on the relationship between adolescents’ body image and depression, respectively, and (2) maladaptive self-focused attention and rejection sensitivity had partial dual mediation effects on the relationship between adolescents’ body image and depression. Conclusion: Results indicate to provide basis for specific interventions for adolescents with depression and body image problems by looking at the dual mediating effects of maladaptive selffocused attention and rejection sensitivity based on the relationship between adolescents’ body image and depression.

ADHD성향 유아의 인지행동놀이치료 사례연구

신해림 ( Hae-rim Shin ) 명지대학교 아동가족심리치료센터 2020 아동가족치료연구 Vol.18 No.-

본 연구의 목적은 인지행동놀이치료(Cognitive Behavioral Play Therapy)가 ADHD 성향 유아의 주의력 및 과잉행동-충동성 증상의 감소와 내재화문제 및 또래관계 개선에 어떠한 영향을 주는지 살펴보는 것이다. 본 연구의 인지행동놀이치료는 주의집중훈련, 사회기술훈련, 인지적 재구성에 초점을 맞추어 구성되었다. 연구대상은 어린이집 장애통합반 ADHD성향의 5세 남아이다. 연구는 서울소재 G어린이집에서 등원아동을 대상으로 2019년 4월부터 9월까지 주 1회, 40분씩 총 20회기를 진행하였고, 어린이집 교사에게 매회기마다 어린이집에서의 생활에 대해 보고받고, 부모상담은 2~3회기에 한번 전화로 실시하였다. 연구효과를 검증하기 위해 회기별 기술을 바탕으로 유아의 ADHD 증상과 내재화문제 및 또래관계의 변화를 살펴보았다. 본 연구의 결과는 다음과 같다. 첫째, 회기가 진행됨에 따라 ADHD성향 유아의 주의력 및 과잉행동-충동성 증상이 유의하게 감소되었고, 이러한 양상은 일상생활(어린이집, 가정)에 일반화되었다. 둘째, 인지행동놀이치료는 ADHD성향 유아의 내재화문제와 또래관계 개선에 긍정적인 효과를 나타냈다. 본 연구는 인지행동놀이치료가 ADHD성향 유아의 ADHD 증상 감소와 내재화문제 및 또래관계 개선에 효과적이며, 언어지연문제를 가진 ADHD성향 유아에 대한 개입 가능성을 검증하였다는 점에서 의의를 가진다. The purpose of this study is to investigate the effects of cognitive behavioral play therapy on the reduction of ADHD tendency symptoms and the internal behavioral problems, and improvement of preschooler’s peer relationships. The subject of this study was a 5-year-old boy showing ADHD symptoms in his integrated special needs classroom. For this study, a total of 20 sessions of therapy were held at G Preschool from April to September, 2019. A 40-minute session was conducted once a week. Along with a five-minute teacher consultation for every session, a phone consultation was held for 20 minutes once every two or three sessions with his parent. To verify the effect, the study examined changes in ADHD tendency symptoms and internal behavioral problems as well as improvement in peer relationship based on every sessional description. The results of this study are as follows, First, as the sessions progressed, the preschooler's ADHD tendency symptoms showed a significant decrease. Second, cognitive behavioral play therapy had positive effects on reducing the preschooler’s internal behavioral problems and improving his peer relationship. The significance of this study is that it demonstrated effectiveness of cognitive behavioral play therapy on reducing preschoolers’s ADHD tendency symptoms and internal behavioral problems, and improving their peer relationship. It also verified the possibility of intervention for preschoolers with ADHD tendency symptoms and language delay.

톨루엔 폭로 근로자들의 요중 마뇨산 배설량

이채언,신해림,조병만,문덕환,손혜숙,조규일,김성천,김용완,Lee, Chae-Un,Shin, Hai-Rim,Cho, Byung-Mann,Moon, Deog-Hwan,Shon, Hae-Sook,Cho, Kyu-Il,Kim, Sung-Chun,Kim, Yong-Wan 대한예방의학회 1988 Journal of Preventive Medicine and Public Health Vol.21 No.2

In order to prepare the fundamental data for preventing the hazardous effects at toluene exposure in many kinds of industry, the authors determined the level of urinary hippuric acid on 592 toluene exposed women(exposed group) and 102 unexposed women(control group) in Pusan area, from April. 1 to October 31, 1986. Hippuric acid was measured by high performance liquid chromatography. The results were summarized as follows; 1. The mean value of urinary hippuric acid concentration of the control group was $0.44{\pm}0.21g/l$(0.11-0.89g/l). The distribution of urinary hippuric acid concentration of the control group was not fit to the normal distribution. 2. The mean value of urinary hippuric acid concentration of the exposed group was $1.56{\pm}0.95g/l$(0.44-4.57g/l). The distribution of urinary hippuric acid concentration of control group was not fit to the normal distribution. 3. The urinary hippuric acid concentration by age group was not statistically significant in the control group, but in the exposed group the urinary hippuric acid concentration was highest in women between 20-29 years old($1.71{\pm}0.95g/l$) and was statistically significant(p<0.01). 4. The urinary hippuric acid concentration by duration of working hours was not statistically significant (p>0.1).

The Knowledge, Attitude, and Practices Related to Noncommunicable Diseases Among Korean Adults Residing in Urban and Rural Areas

Byung Sung Kim(김병성),Kong Hyun Kim(김공현),Chae Un Lee(이채언),Hae Rim Shin(신해림),Hyung Jong Park(박형종) 한국보건교육건강증진학회 1992 보건교육건강증진학회지 Vol.9 No.1

우리나라 보건통계 개선에 관한 연구

김현영 ( Hyun Young Kim ),정은경 ( Eun Kyung Jung ),신해림 ( Hae Rim Shin ),박기호 ( Ki Ho Park ) 한국보건정보통계학회 (구 한국보건통계학회) 2005 보건정보통계학회지 Vol.30 No.2

한랭노출과 고혈압의 연관성

장태원,김윤규,윤동영,이창희,홍영습,신해림,정갑열,김준연 大韓産業醫學會 2001 대한직업환경의학회지 Vol.13 No.4

Objectives : This study was carried out to suggest preventive methods for hypertension in cold-exposed workers. Methods : In 11 refs·iteration industries, 68 workers working in refrigerated areas more than one time per day were selected as the exposed group, and 68 workers not exposed to cold were selected as the control group. We interviewed the subjects with a questionnaire covering occupational history, and conducted clinical and laboratory tests including measurements of blood pressure and core temperature. Results : The systolic blood pressure in the exposed group(130.0±13.3 mmHg) was significantly higher than that recorded In the control group(118.3±12.1 mmHg), as was the diastolic blood pressure in the exposed group(82.7±8.5 mmHg) versus the control group(77.4±8.7 mmHg). The core temperature in the exposed group(36.1±0.7℃) was significantly lower than that experienced in the control group (36.4±0.5℃). In logistic regression analysis, age, cold exposure severity and milk intake were significant variables, with odds ratios of 5.204(95 % CI 1.440∼18.812), 2.674(95 % CI 1.080∼6.618), and 0.364(95 % Cl 0.141∼0.942) , respectively. Conclusions : Our study suggests that cold-exposed workers have higher a higher risk of hypertension, and that their core temperature is lower. Risk factors affecting hyper-tension of cold-exposed workers include age, cold exposure severity and milk intake. For the prevention of hypertension, cold-exposed workers should minimize cold-exposure time as much as possible.

The Knowledge, Attitude, and Practices Related to Noncommunicable Diseases Among Korean Adults Residing in Urban and Rural Areas : 고혈압, 당뇨병 및 암을 중심으로 Focusing on Hypertension, Diabetes, and Cancer

Kim, Byung-Sung,Kim,Kong Hyun,Lee, Chae-Un,Shin, Hae-Rim,Park, Hyung-Jong 韓國保健敎育學會 1992 보건교육건강증진학회지 Vol.9 No.1

의학이 발달하고 수명이 연장되고, 그리고 식사가 보다 서양화되는 등 생활양식이 변화됨에 따라 성인병이 1970년대부터 한국에 보다 늘어나게 되었다. 본 연구는 면접 및 설문지법을 이용하여 성인병, 특히 고혈압, 당뇨병 및 암에 관하여 도시 및 시골 거주자들의 지식, 태도 및 실천을 비교 연구하였다. 연구기간은 1990년 1월 부터 12월까지 1년동안이었고 대상은 전체 716명으로 그중 360명은 부산시 거주자였고 356명은 부산 근교의 시골거주자였다. 고혈압, 당뇨병 및 암에 대해 알고 있다고 응답한 대상자는 각각 92.6%, 92.0% 및 74.7%였다. 고혈압, 당뇨병 및 암의 지식도에 있어서 도시 거주자들이 시골 거주자보다 유의하게 더 많이 알고 있었다(각각 p<0.001). 그러나 성인병에 관한 태도와 지식에 있어서는 도시 거주자와 시골 거주자 사이에 유의한 차이가 없었다(p<0.05). 고혈압의 지식도는 거주지(r=0.2159, p<0.01) 및 수입(r=0.1882, p<0.01)과 유의한 상관관계가 있었고, 당뇨병에 관한 지식도는 거주지(r=0.3952, p<0.001), 수입(4=0.3663, p<0.001) 및 직업(r=0.2576, p<0.001), 수입(r=0.4138, p<0.001), 직업(r=0.3044, p<0.001) 및 성별(r=-0.1887, p<0.01)과 유의한 상관관계가 있었다. 성인병에 관한 태도는 성별(r=0.4748, p<0.001), 경제상태(r=0.2209, p<0.01) 및 고혈압 지식도(r=0.1844, p<0.01)와 유의한 상관관계를 나타내었다. 성인병에 관한 실천은 본 연구에서 어떤 변수와도 상관관계가 없는 것으로 나타났다. 성인병이 이전보다 더 많아짐에 따라 연령이 증가하는 나라와 개발국가에서 성인병이 주요한 대상질환이 될 것이고, 질병예방과 건강증진의 차원에서 성인병을 예방하기 위해 보건교육에 보다 중점을 두어야 할 것이다.

소화성 궤양 환자의 혈중 및 요중 aluminum과 silicon

김준연,김두희,최석렬,신해림,김정일,서정일,Roberts,Norman B. 동아대학교 부설 산업의학연구소 1999 산업의학연구소 논총 Vol.- No.4

Objectives: This study was carried out to investigate the aluminum concentrations in blood urine and drinking water, the factors which affect the concentrations and the role of silicon in patients who were taking antacid containing aluminum. Methods: We selected 122 peptic ulcer patients as cases and 144 healthy examinees as controls. Blood, urine, and drinking water were collected from the each study subject and we measured aluminum concentrations as well as silicon concentrations in the specimens, The factors including silicon affect on the aluminum concentrations were also analyzed. Results: 1.The mean duration of antacid administration was 12 months, and the mean daily and total amount of aluminum administration were 0.9 g and 304 g per each patient, respectively. 2.The blood and urine aluminum concentrations were significantly higher in the case. 3.The blood silicon concentration was significantly lower in the control group, and the urine silicon concentration was significantly higher in the case. 4.Urine aluminum concentration was significantly correlated with blood aluminum concentration (r=0.18), and urine silicon concentration was correlated with blood aluminum (r=0.19) and urine aluminum concentrations (r=0.13). 5.The longer the duration of antacid administration and the larger the total and daily amount of aluminum in the antacid were, the higher urine aluminum and silicon concentrations were, but not to a statistically significant degree. Conclusions: Blood and urine aluminum concentrations were higher in the ulcer patients. The authors suggest that follow-up studies of the patients who administered antacid with high aluminum content for long duration should be done.